Healthcare Provider Details

I. General information

NPI: 1144664533
Provider Name (Legal Business Name): DANIELLE BLESSING TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2013
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 PENNSYLVANIA AVE NW # 272
WASHINGTON DC
20006-1811
US

IV. Provider business mailing address

2020 PENNSYLVANIA AVE NW # 272
WASHINGTON DC
20006-1811
US

V. Phone/Fax

Practice location:
  • Phone: 202-569-8845
  • Fax:
Mailing address:
  • Phone: 202-569-8845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT000177
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717001345
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM590
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: